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ORIGINAL ARTICLE
Year : 2011  |  Volume : 17  |  Issue : 1  |  Page : 42--46

Clinical audit on documentation of anticipatory «DQ»Not for Resuscitation«DQ» orders in a tertiary australian teaching hospital

Naveen Sulakshan Salins1, Wendy Jansen2 
1 Consultant, Department of Integrative Oncology, HCG Enterprise Ltd-Bangalore Institute of Oncology, Bangalore, India
2 Mary Potter Nursing Research Fellow, Discipline of Nursing. The University of Adelaide, Adelaide, Australia

Correspondence Address:
Naveen Sulakshan Salins
Consultant, Department of Integrative Oncology, HCG Enterprise Ltd-Bangalore Institute of Oncology, Bangalore
India

Aim: The purpose of this clinical audit was to determine how accurately documentation of anticipatory Not for Resuscitation (NFR) orders takes place in a major metropolitan teaching hospital of Australia. Materials and Methods: Retrospective hospital-based study. Independent case reviewers using a questionnaire designed to study NFR documentation reviewed documentation of NFR in 88 case records. Results: Prognosis was documented in only 40% of cases and palliative care was offered to two-third of patients with documented NFR. There was no documentation of the cardiopulmonary resuscitation (CPR) process or outcomes of CPR in most of the cases. Only in less than 50% of cases studied there was documented evidence to suggest that the reason for NFR documentation was consistent with patient«SQ»s choices. Conclusion: Good discussion, unambiguous documentation and clinical supervision of NFR order ensure dignified and quality care to the dying.


How to cite this article:
Salins NS, Jansen W. Clinical audit on documentation of anticipatory "Not for Resuscitation" orders in a tertiary australian teaching hospital.Indian J Palliat Care 2011;17:42-46


How to cite this URL:
Salins NS, Jansen W. Clinical audit on documentation of anticipatory "Not for Resuscitation" orders in a tertiary australian teaching hospital. Indian J Palliat Care [serial online] 2011 [cited 2020 Sep 24 ];17:42-46
Available from: http://www.jpalliativecare.com/article.asp?issn=0973-1075;year=2011;volume=17;issue=1;spage=42;epage=46;aulast=Salins;type=0